中国全科医学 ›› 2024, Vol. 27 ›› Issue (30): 3835-3840.DOI: 10.12114/j.issn.1007-9572.2023.0755

• 综述与专论 • 上一篇    

可穿戴/移动设备在隐匿性心房颤动管理中的应用进展和挑战

高晨曦1, 陈德芳2, 陈清勇2, 沈灿1,*(), 廖晓阳1,*()   

  1. 1.610041 四川省成都市,四川大学华西医院全科医学中心
    2.610041 四川省成都市,四川大学华西医院心脏内科
  • 收稿日期:2023-12-06 修回日期:2024-03-04 出版日期:2024-10-20 发布日期:2024-07-09
  • 通讯作者: 沈灿, 廖晓阳

  • 作者贡献:

    高晨曦负责确定论文选题、撰写及修改,文章的质量控制及核查,并对文章整体负责;陈德芳负责文献检索、筛选和去重;陈清勇负责文献数据分析;沈灿和廖晓阳负责论文修改,文章结构总体把控,确定终稿,并对文章整体负责。

  • 基金资助:
    四川大学华西医院临床研究1.3.5孵化项目(2019HXFH059)

Updated Progress and Challenges in the Application of Wearable/Mobile Devices in the Management of Silent Atrial Fibrillation

GAO Chenxi1, CHEN Defang2, CHEN Qingyong2, SHEN Can1,*(), LIAO Xiaoyang1,*()   

  1. 1. Center for General Practice, West China Hospital of Sichuan University, Chengdu 610041, China
    2. Department of Cardiology, West China Hospital of Sichuan University, Chengdu 610041, China
  • Received:2023-12-06 Revised:2024-03-04 Published:2024-10-20 Online:2024-07-09
  • Contact: SHEN Can, LIAO Xiaoyang

摘要: 心房颤动是常见的心律失常之一,可引起心力衰竭、脑卒中等严重并发症,导致患者致死率、致残率增加。隐匿性心房颤动无明显临床症状,且发作不规律,漏诊率高,无法及时规范诊疗,更易导致不良临床结局。近期临床研究表明可穿戴设备在隐匿性心房颤动的筛查和管理中有显著优势。本文基于国内外近年相关文献复习,对可穿戴设备在隐匿性心房颤动筛查与管理中的最新研究现状、临床结局、成本效益、应用挑战及前景进行综述,以期为其在隐匿性心房颤动管理中的进一步应用提供更多循证证据支持。

关键词: 可穿戴电子设备, 可移动, 隐匿性心房颤动, 管理, 进展

Abstract:

Atrial fibrillation (AF) is among the most prevalent types of arrhythmia, leading to severe complications such as heart failure and stroke, thus increasing rates of mortality and disability. Silent AF, which lacks clinical symptoms and has irregular onset, tends to have a low diagnosis rate and often experiences delays in receiving standardized treatments, resulting in negative clinical outcomes. Recent clinical studies highlight the significant benefits of wearable devices in the screening and management of silent AF. In this article, we review the clinical outcomes, cost-effectiveness, challenges and future application prospects of wearable devices in the detection and management of silent AF based on relevant domestic and international literature of recent years to provide more evidence-based support for its further applications.

Key words: Wearable electronic devices, Mobile, Silent atrial fibrillation, Management, Progress

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